Organization
BEFORE AND AFTER BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA LOREAL DUMAS BSW, MA, PH.D, CLC (THERAPIST)
(910) 573-9977
Entity
Organization
Contact information
Practice address
121 WILEY DR, CANDOR, NC 27229-9097
(910) 573-9977
Mailing address
121 WILEY DR, CANDOR, NC 27229-9097
(910) 573-9977
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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